Individual
DR. JAMES SIDNEY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
65 TETON LN, MANKATO, MN 56001-4814
(507) 345-3347
(507) 345-7040
Mailing address
65 TETON LN, MANKATO, MN 56001-4814
(507) 345-3347
(507) 345-7040
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
299
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114354
UCARE
MN
01
—
115435
CHOICE PLUS
MN
01
—
27-00637
MEDICA
MN
01
—
3875
MMSI
MN
01
—
41564SH
BLUE CROSS BLUE SHIELD
MN
01
—
935341018502
PREFERRED ONE
MN
01
—
V41124916441171
HEALTH PARTNERS
MN
Enumeration date
09/24/2006
Last updated
12/17/2007
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